The Journal of the American Association of Gynecologic Laparoscopists · 2002
Combined laparoscopic uterosacral and round ligament procedures for treatment of symptomatic uterine retroversion and mild uterine decensus.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Yen Chih-Feng, Wang Chin-Jung, Lin Shu-Ling, Lee Chyi-Long, Soong Yung-Kuei
Аннотация
STUDY OBJECTIVE: To evaluate the efficacy of a new modified technique to treat a symptomatic retrodisplaced uterus.
DESIGN: Prospective clinical study (Canadian Task Force classification II-2).
SETTING: Tertiary care university hospital.
PATIENTS: Thirty-one women with symptomatic uterine retrodisplacement but without significant pelvic pathology.
INTERVENTION: Laparoscopic shortening and plication of uterosacral ligaments with modified Gilliam suspension.
MEASUREMENTS AND MAIN RESULTS: In average follow-up of 3.3 +/-1.0 years, all patients had an anteverted, anteflexed uterus. Mean +/- SD operating time was 24.1 +/- 4.7 minutes. There were no complications during or after surgery. Dyspareunia scores before and after surgery were 5.4 +/- 1.4 and 0.5 +/- 0.7, respectively (p <0.001). Chronic pelvic pain was satisfactorily relieved in seven of nine women. Vagina lengths before and after surgery were 5.9 +/- 0.7 and 7.0 +/- 0.3 cm, respectively (p <0.001).
CONCLUSION: Our technique achieved long-lasting good results in suspending uteri in anteverted, anteflexed position and relieved symptoms caused by retrodisplacement.
DESIGN: Prospective clinical study (Canadian Task Force classification II-2).
SETTING: Tertiary care university hospital.
PATIENTS: Thirty-one women with symptomatic uterine retrodisplacement but without significant pelvic pathology.
INTERVENTION: Laparoscopic shortening and plication of uterosacral ligaments with modified Gilliam suspension.
MEASUREMENTS AND MAIN RESULTS: In average follow-up of 3.3 +/-1.0 years, all patients had an anteverted, anteflexed uterus. Mean +/- SD operating time was 24.1 +/- 4.7 minutes. There were no complications during or after surgery. Dyspareunia scores before and after surgery were 5.4 +/- 1.4 and 0.5 +/- 0.7, respectively (p <0.001). Chronic pelvic pain was satisfactorily relieved in seven of nine women. Vagina lengths before and after surgery were 5.9 +/- 0.7 and 7.0 +/- 0.3 cm, respectively (p <0.001).
CONCLUSION: Our technique achieved long-lasting good results in suspending uteri in anteverted, anteflexed position and relieved symptoms caused by retrodisplacement.